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Nutritional status in hospitalized elderly patients with mild cognitive impairment.

Abstract

BACKGROUND & AIMS

Malnutrition is prevalent in hospitalized elderly people leading to complications including cognitive deficit. However, the relationship between the nutritional status and the preclinical phase of dementia in the elderly is still unclear. The aim of this study was to evaluate the prevalence of malnutrition in older patients with mild cognitive impairment.

METHODS

A total of 623 hospitalized elderly patients underwent the comprehensive geriatric assessment to evaluate medical, cognitive, affective and social aspects. Nutritional status was assessed by using the mini-nutritional assessment. The cognitive function was categorized into three levels -- normal cognition, mild cognitive impairment and dementia -- according to the neuropsychological evaluation.

RESULTS

According to the mini-nutritional assessment classification, 18% of the sample study was assessed as well nourished, 58% at risk of malnutrition and 24% as malnourished. Patients with mild cognitive impairment and dementia had significantly lower frequency of well nourished and higher frequency of at risk of malnutrition or malnourished than patients with normal cognition.

CONCLUSIONS

Malnutrition is prevalent in hospitalized elderly patients with cognitive deficit, even in those with mild cognitive impairment. It remains to be demonstrated whether improvement in nutritional status may delay progression to dementia in these patients.

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  • Authors+Show Affiliations

    ,

    Geriatric Unit, Ospedale Paradiso, Azienda Sanitaria Locale Bari, Gioia del Colle (BA), Italy. giuseppeorsitto@katamail.com

    , , , ,

    Source

    MeSH

    Aged
    Aged, 80 and over
    Cognition Disorders
    Comorbidity
    Dementia
    Female
    Geriatric Assessment
    Hospitalization
    Humans
    Male
    Malnutrition
    Nutrition Assessment
    Nutritional Status
    Prevalence
    Severity of Illness Index

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    19110345

    Citation

    Orsitto, Giuseppe, et al. "Nutritional Status in Hospitalized Elderly Patients With Mild Cognitive Impairment." Clinical Nutrition (Edinburgh, Scotland), vol. 28, no. 1, 2009, pp. 100-2.
    Orsitto G, Fulvio F, Tria D, et al. Nutritional status in hospitalized elderly patients with mild cognitive impairment. Clin Nutr. 2009;28(1):100-2.
    Orsitto, G., Fulvio, F., Tria, D., Turi, V., Venezia, A., & Manca, C. (2009). Nutritional status in hospitalized elderly patients with mild cognitive impairment. Clinical Nutrition (Edinburgh, Scotland), 28(1), pp. 100-2. doi:10.1016/j.clnu.2008.12.001.
    Orsitto G, et al. Nutritional Status in Hospitalized Elderly Patients With Mild Cognitive Impairment. Clin Nutr. 2009;28(1):100-2. PubMed PMID: 19110345.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Nutritional status in hospitalized elderly patients with mild cognitive impairment. AU - Orsitto,Giuseppe, AU - Fulvio,Franco, AU - Tria,Domenico, AU - Turi,Vincenzo, AU - Venezia,Amedeo, AU - Manca,Cosimo, Y1 - 2008/12/24/ PY - 2008/05/22/received PY - 2008/10/18/revised PY - 2008/12/02/accepted PY - 2008/12/27/entrez PY - 2008/12/27/pubmed PY - 2009/5/27/medline SP - 100 EP - 2 JF - Clinical nutrition (Edinburgh, Scotland) JO - Clin Nutr VL - 28 IS - 1 N2 - BACKGROUND & AIMS: Malnutrition is prevalent in hospitalized elderly people leading to complications including cognitive deficit. However, the relationship between the nutritional status and the preclinical phase of dementia in the elderly is still unclear. The aim of this study was to evaluate the prevalence of malnutrition in older patients with mild cognitive impairment. METHODS: A total of 623 hospitalized elderly patients underwent the comprehensive geriatric assessment to evaluate medical, cognitive, affective and social aspects. Nutritional status was assessed by using the mini-nutritional assessment. The cognitive function was categorized into three levels -- normal cognition, mild cognitive impairment and dementia -- according to the neuropsychological evaluation. RESULTS: According to the mini-nutritional assessment classification, 18% of the sample study was assessed as well nourished, 58% at risk of malnutrition and 24% as malnourished. Patients with mild cognitive impairment and dementia had significantly lower frequency of well nourished and higher frequency of at risk of malnutrition or malnourished than patients with normal cognition. CONCLUSIONS: Malnutrition is prevalent in hospitalized elderly patients with cognitive deficit, even in those with mild cognitive impairment. It remains to be demonstrated whether improvement in nutritional status may delay progression to dementia in these patients. SN - 1532-1983 UR - https://www.unboundmedicine.com/medline/citation/19110345/Nutritional_status_in_hospitalized_elderly_patients_with_mild_cognitive_impairment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0261-5614(08)00223-9 DB - PRIME DP - Unbound Medicine ER -